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JESSICA BACCI CPNP-PC
NPI 1316369903
Nurse Practitioner - Pediatrics in Lindenhurst, NY

Active since January 15, 2014PECOS Enrolled
458 S 12TH ST, LINDENHURST, NY 11757(516) 661-4954 Get Directions Write a Review

NPPES record last updated: August 23, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jessica Bacci Cpnp-pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA BACCI CPNP-PC (NPI 1316369903) is an individual pediatrics provider in Lindenhurst, New York, licensed in New York (202223706) and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lindenhurst.

NPPES Registry Identity

NPI1316369903
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameJESSICA BACCICredential: CPNP-PC
Location Address458 S 12TH STLindenhurst, NY 11757-4520
Mailing Address458 S 12th StLindenhurst, NY 11757-4520 · (516) 661-4954
Phone(516) 661-4954
Sole ProprietorNo
Enumeration DateJanuary 15, 2014
Last NPPES UpdateAugust 23, 2022
NPPES CertifiedAugust 23, 2022
✔ NPI 1316369903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in NY · 202223706
Also ListedRegistered Nurse · SchoolTaxonomy 163WS0200X · License 668606-1 (NY)
458 S 12TH ST, Lindenhurst, NY 11757
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Secondary Practice Location 1

Location 1418 S 14th StLindenhurst, NY 11757-4436 · Phone (516) 661-4954

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Bacci Cpnp-pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jessica Bacci reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

North Shore - Lij Medical PC
18 mi
Internal Medicine
270-05 76TH AVE
New Hyde Park, NY 11040
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1790043479 (516) 465-8089

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11757 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Bacci's NPI number?

The NPI number for Jessica Bacci is 1316369903. It was assigned to this individual provider in the NPPES registry on January 15, 2014.

Where is Jessica Bacci located?

Jessica Bacci practices at 458 S 12th St, Lindenhurst, NY 11757. The listed phone number is (516) 661-4954.

What is Jessica Bacci's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Jessica Bacci enrolled in Medicare?

Yes. Jessica Bacci is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jessica Bacci's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Bacci reassigns Medicare benefits to North Shore - Lij Medical PC (New Hyde Park, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Bacci's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jessica Bacci was last updated on August 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.